Retired Participants

My Health Benefits

Customer Care Center

 

For claims, benefits and authorizations:

Call CIGNA at 800-235-7748, 24/7.

For eligibility:

Call 866-342-6555, 8 a.m. to 5 p.m. CST, Monday through Friday.

To find an in-network doctor or facility, click on the logo below for the service you need.

Express Scripts


Health Benefits

Please remember that health benefits provided are generally self-funded and paid from the assets of the Boilermakers National Health and Welfare Fund. View the list of covered services below.

For a complete explanation of the health benefits available to you under the Boilermakers National Health and Welfare Fund, please refer to your Evidence of Coverage and Summary Plan Description (SPD).

Comprehensive Hospital/Medical

Network: CIGNA 
800-235-7748
Our medical coverage helps you to stay healthy and seek cost-effective care through a network of highly qualified doctors, hospitals and other providers.

*Please note the CIGNA OAP network is not available to you if Medicare is your primary coverage. Services covered:

  • Health Risk Assessment (HRA)
  • inpatient hospital care
  • outpatient hospital services
    • physician visits
    • routine physical exams
    • mammograms
    • physical therapy
    • chiropractic care
    • skilled nursing facility care
    • extended care services
    • hospice care (facility and at home care)
    • surgery center
    • surgery services and anesthesia
    • second opinion
    • DME, prosthetics
    • Air ambulance
    • Hearing aid benefit

Hospital and medical benefits, including some of the covered services listed above, may be subject to deductibles, co-insurance and co-pays, benefit maximums and other limits on the amount of benefits covered. In addition, as a general rule, the expenses you incur must be medically necessary and cannot be experimental. Finally, some expenses may be excluded or subject to additional requirements. Please check your Summary Plan Description to obtain details on these limits, exclusions and requirements.

Telehealth Visit Benefit through American Well (Amwell)

As of January 1, 2015, you can have electronic video visits with a doctor anytime through Amwell by using the web or mobile app. It’s easy to use, private, secure and it’s free to enroll.

There are 3 easy ways to sign up:
1) Download the iOS or Android App by searching “Amwell”
2) Sign up on the web at
 www.Amwell.com
3) Sign up by phone, call 1-855-818-DOCS

Enter Service Key: BOILERMAKERS to get the Boilermakers National Health & Welfare Fund rate.

National Transplant Program

Network: CIGNA 
800-235-7748

Supported by a national network of high-quality transplant centers, our program offers complete care and assistance if you ever require an organ transplant. Personal case managers guide you throughout the transplant process - from the first evaluation and screening visit to a maximum of one year post-transplant. If Medicare or another group plan is your primary coverage, the National Transplant Program and its benefits are not available to you.

Prescription Drug Program

Partner: Express Scripts
800-655-0459

Curb the spiraling cost of prescription medications with our pharmacy benefits. Coverage includes a convenient mail order program, complete with online ordering, refills and tracking.

Behavioral Health/Substance Abuse

Network: CIGNA 
800-235-7748

Promote your behavioral health and wellness with our mental health coverage that fully integrates care for both the mind and body.

The Fund's Medicare Advantage Plan

Network: United Healthcare
877-755-5349

The Boilermakers National Health and Welfare Fund contracts with United Healthcare to provide a Medicare Advantage plan to its retirees.  You may meet the initial eligibility requirements if you have elected retiree coverage through Boilermakers National Health and Welfare Fund and are currently eligible to enroll in Medicare Parts A and B.

Plan Limits

Certain transplant, prescription drug, behavioral health, substance abuse, and hearing aid benefits may be subject to deductibles, co-insurance and co-pays, benefit maximums and other limits on the amount of benefits covered. In addition, as a general rule, the expenses you incur must be medically necessary and cannot be experimental. Finally, some expenses may be excluded or subject to additional requirements. Please check your Summary Plan Description to obtain details on these limits, exclusions and requirements.

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